Individual
MICHAEL PAUL ANTHONY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3115 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 600-2382
Mailing address
3433 W SHAW AVE STE 103, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT40172
CA
Other
Enumeration date
04/26/2023
Last updated
10/28/2025
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